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Required Required Question(s)
1.

How long have you been a customer?
I am a new Customer
Less than 6 months
6 months to less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
2.

Which products interest you most? Please check all that apply.
Accessories
Clothing
Gifts
Jewelry
Shoes
Other  
  • Comment:

  • 500 characters left.
3.

How frequently do you purchase products either from us or from other stores/websites in the following categories, ?
 Don't purchase Once a year or less Every 7-12 months Every 2-6 months Once a month Every 2-3 weeks Once or more a week 
Accessories
Clothing
Gifts
Jewelry
Shoes
  • Comment:

  • 500 characters left.
4.

Which of the following impact your decision to purchase?
 Not important Somewhat unimportant Neutral Somewhat important Very important Does not apply 
Pricing
Product Quality
Fashion of The Moment
Celebrity Look
Brand
Website ease of use
  • Comment:

  • 500 characters left.
5.

Do you make most of your purchases at physical retail stores or online?
Physical retail store
Online store
Purchase from both equally
6.

If we were to offer a Print Catalog, would you like to receive it?
Yes
No
Required 7.

Where do you live?
 

  • 50 characters left.
Required 8.

Please indicate your gender.
Female
Male
Prefer not to answer
Required 9.

Which range includes your age?
Younger than 18
18 - 24
25- -34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
Required 10.

Which range includes your yearly income level?
Under $25,000
$25,000-$35,000
$35,000 to $50,000
$50,000 to $75,000
$75,000 to $100,000
$100,000 to $125,000
$125,000 and Over
Prefer not to answer
11.

Do you have a significant other?
Yes
No
12.

Do you have Children? and if so please select  the age ranges that apply to them
No
Yes
0-6 Months
12-18 Month
18-24 Months
2-5 Years
5-10 Years
10-12 Years
12 Years and Above
13.

What is your Shirt Size?
Extra Small
Small
Medium
Large
Extra Large
14.

What is your waist size?
23
24
25
26
27
28
29
30
31
32
Other  
15.

What is your dress Size?
0
2
4
6
8
10
12
Other  
16.

What is your shoe size?
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
11
Other  
17.

Who is favorite celebrity fashionista?
 

  • 50 characters left.
18.

What is you favorite fashion magazine?
 

  • 50 characters left.
19.

Where do you get your celebrity news from?
 

  • 50 characters left.
20.

Have you started your holiday shopping yet?
Yes
No
  • Comment:

  • 500 characters left.
21.

Who are you shopping for?
 

  • 350 characters left.
22.

What kind of holiday shopper are you?
Checking the List Shopper- 4 to 6 Months Before
Party Planner Shopper- 1 to 2 Months Before
Last Minute Shopper- 2 to 4 Weeks Before
After the Holidays Promo Shopper
  • Comment:

  • 500 characters left.
23.

Please enter the information indicated below. This information will be used to contact you if you are the winner of our SHOPINTUITION.com $500 Gift Card.
First Name:
Last Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Country: